Monbulk Pony Club inc Winter Horse Show Snaffle Bits Only Incorporation Number A00012826R Wards Road Reserve, Monbulk VIC 3793 Open Rings, Pony Club Ring, Fun Ring & Working Hunter/Hack Sunday 30th of July 2017 Enter: Pre Entry for as many classes as you want to enter on the day $60.00 (includes gate entry) or $5.00 per class Entry on the day $8.00 per class Gate entry on the day $5.00 Gates open 6.30am Working Hunter/Hack $10.00 pre entry per class or $15.00 on the day All open competitors MUST complete a Liability Declaration $10 fee will be charged if you do not have a currant PCAV, EV, HRCAV etc. Prizes: Pony Club Ring ribbons to 6th Place, Open Ring ribbons to 4th Place, Sashes for Smartest on Parade, Champions, Reserve Champions and Supremes. La Lapels for all Smartest on Parade winners, Supreme riders and winners of the working hunter/hack Rugs for the winner of the Pony Club High Point award, the Overall Working Hunter winner and Ridden Exhibit OFF THE TRACK- BEST PERFORMED RETIRED THOROUGHBRED RACE HORSE FOR THE PONY CLUB AND OPEN The Off the Track Program is dedicated to supporting retired race horses participating in equestrian events. Please bring along your Thoroughbreds racing name if they have competed in a trial or started in a race, locally, nationally or internationally.
BEST PERFORMED RETIRED STANDARDBRED OF THE DAY Winner receives - Rug and prizes. Enter on the day Conditions of Entry -Entry is conditional upon acceptance of these conditions. 1. Entering this competition constitutes acknowledgement that PCAV Rules apply and acceptance of these rules. 2. Before riding, All Open Competitors must complete and submit a Liability Declaration form (available on the day). A $10.00 3rd Party Insurance Participation Fee is also payable in addition to the Entry Fee UNLESS proof of current financial membership of PCAV, EV/EA, HRCAV, AHF, SHCA, AERA, an interstate pony club, can can provide proof of personal Liability Cover of at least $10 million. If you are required to pay the $10.00 Fee, you must also complete and submit a Day Participant Waiver Form. 3. Before riding, PCAV Membership Cards must be presented to the Secretary's Office. 4. All Competitors need to complete and submit a Biosecurity Declaration (available on the day) to the secretary's Office. 5. Gear check is required by ALL Competitors in Ridden Classes. NB. Only Snaffle Bits Allowed-including Led Classes- Spot checks may occur and noncompliance will result in Elimination. 6. Medical armbands must be worn on the arm at all times by all competitors. 7. All competitors in Riden Classes must wear current "standards " complying Helmets. Complying helmets are AS/NZS 3838 (AU), ASTMF 1163 (USA), PAS 015 (UK), VG1 (Europe), EN1384 (Europe) only up to and including 2015, ( if made in 2016, not acceptable unless it also complies with VG1). Spot checks may occur and noncompliance will result in Elimination. 8. The organizers reserve the right to alter the program in any way at any time. 9.The organising committee reserves the right to cancel any class or competition, divide any class; alter 10. Novice class winners may compete for Champion & Reserve Champions. 11. Lunging is permitted at this competition only in arena 1 only before 9am. No lunging anywhere after 9am. 12. No Dogs allowed 13. Snaffle bits only
Ring 1 Fun Ring Starts 10:00am Please leave this ring for L plate and P plate riders only. All parents please remember the following events are for fun and are designed for our kids to have a great day. All children in this ring may be led or helped in any way necessary and will not be penalised. 1. Led pony 10.2hh & under 2. Led pony 10.2hh & under 14h 3. Led horse over 14h 4. Pony most suitable for a beginner 10.2h & under 5. Pony most suitable for a beginner 10.2h & 14h 6. Horse most suitable for a beginner 14h & over 7. Happiest Rider under 7 years 8. Happiest Rider 7 years & under 10 years 9. Happiest Rider 10 years & over 10. Furriest Legs 11. Longest Tail 12. Shortest Pony 13. Tallest Horse 14. Shortest Legs non-surgical aesthetic medicine www.cosmediclinic.com 15. Rider most like pony 16. AFL Football fancy dress Rider and Horse 17. Fancy Dress Topsy Trooper award Special prize (awarded to the child who tries his/her hardest all day in the Fun Ring)
Ring 2 Pony Club Ring Starts 8.30am High point Winner receive a cotton rug kindly donated by HorseLand Lilydale and sash. 1. Neatest and Cleanest 8yrs and under 2. Neatest and Cleanest 8yrs & under 10yrs 3. Neatest and Cleanest 10yrs & under 12yrs 4. Neatest and Cleanest 12yrs & under 14yrs 5. Neatest and Cleanest 14yrs & under 16yrs 6. Neatest and Cleanest 16yrs & under 18yrs 7. Neatest and Cleanest over 18yrs 8. Handler 8yrs & under 9. Handler 8yrs & under 10yrs Champion & Reserve Champ. Junior Handler 10. Handler 10yrs & under 12yrs 11. Handler 12yrs & under 14yrs Champion & Reserve Champ. Intermediate Handler 12. Handler 14yrs & under 16yrs 13. Handler 16yrs & under 18yrs 14. Handler 18yrs & over Champion & Reserve Champ. Senior Handler 15. PC Rider 8yrs & under 16. PC Rider 8yrs & under 10yrs Champion & Reserve Champ. Junior Rider 17. PC Rider 10yrs & under 12yrs 18.PC Rider 12yrs & under 14yrs Champion & Reserve Champ. Intermediate Rider
19. PC Rider 14yrs & under 16yrs 20. PC Rider 16yrs & under 18yrs 21. PC Rider over 18yrs Champion & Reserve Champ. Senior Rider Supreme Pony Club Rider 22. PC Mount 11hh & under 23. PC Mount 11h & not exceeding 11.2h under 24. PC Mount 11.2 & not exceeding 12h 25. PC Mount 12hh & not exceeding 12.2 Champion & Reserve Champ. Small Pony 26. PC Mount 12.2hh & not exceeding 13hh 27. PC Mount 13h & not exceeding 13.2hh 28. PC Mount 13.2h & not exceeding 14hh Champion & Reserve Champ. Large Pony 29. PC Mount 14h & not exceeding 14.2hh 30. PC Mount 14.2h & not exceeding 15hh Champion & Reserve Champ. Galloway 31. PC Mount 15h & not exceeding 15.2hh 32. PC Mount 15.2h & not exceeding 16hh 33. PC Mount 16hh & over Champion & Reserve Champ. Hack Supreme Pony Club Mount *ODE Mount will be required to jump 34. ODE 11h & under 35. ODE 11h & under 11.2h
36. ODE 11.2 & under 12hh 37. ODE 12h & not exceeding 12.2 Champion & Reserve Champ. ODE 38. ODE 12.2 & not exceeding 13h 39. ODE 13hh & not exceeding 13.2hh 40. ODE 13.2hh & not exceeding 14h Champion & Reserve Champ. Large Pony 41. ODE 14hh & not exceeding 14.2hh 42. ODE 14.2hh & not exceeding 15hh Champion & Reserve Champ. Galloway 43. ODE 15hh & not exceeding 15.2hh 44. ODE 15.2hh & not exceeding 16hh 45. ODE 16hh & over non-surgical aesthetic medicine www.cosmediclinic.com Champion & Reserve Champ. Hack Pony Club Highpoint scoring 1st = 6 points 2nd = 5 points 3rd = 4 points 4th = 3 points 5th = 2 points 6th = 1 point Champion = 3 points Reserve Champion = 2 points Supreme = 1 point
Ring 3 Junior Open Ring Starts at 9:30am Supreme Ridden Show Horse & Supreme Rider to be judged at the end of classes in ring 3 and 4 and judged by both judges. Snaffle bits only 1. Smartest on Parade 8 yrs & under 2. Smartest on Parade 8yrs & under 10 yrs 3. Smartest on Parade 10yrs & under 12yrs 4. Smartest on Parade 12yrs & under 14yrs 5. Smartest on Parade 14yrs & under 16yrs 6. Led Pony 11hh & under 7. Led Pony 11hh & not exceeding 11.2hh 8. Led Pony 11.2h & not exceeding 12h 9. Led Pony 12hh & not exceeding 12.2h Champion & Reserve Champ. Small Led Pony 10. Led Pony 12.2h & not exceeding 13hh 11. Led Pony 13h & not exceeding 13.2hh 12. Led Pony 13.2hh & not exceeding 14h Champion & Reserve Champ. Large Led Pony 13. Novice Rider 8yrs & under 14. Novice Rider 8yrs & under 12yrs 15. Open Rider 8yrs & under 16. Open Rider 8yrs & under 10yrs 17. Open Rider 10yrs & under 12yrs Champion & Reserve Champ. Junior Open Rider 18. Novice Rider 12yrs & under 16yrs 19. Open Rider 12yrs & under 14yrs 20. Open Rider 14yrs & under 16yrs
Champion & Reserve Champ. Intermediate Open Rider 21. Novice Ridden small pony under 12.2hh 22. Open Ridden 11hh & under 23. Open Ridden 11h & not exceeding 12.2h 24. Open Ridden & not exceeding 11h 25. Open Ridden 11h & not exceeding 11.2 26. Open Ridden 12hh & not exceeding 12.2hh Champion & Reserve Champ Small Ridden Pony 23. Novice Ridden Large pony under 14hh 24. Open Ridden 12.2h & not exceeding 13hh 25. Open Ridden 13hh & not exceeding 13.2hh 26. Open Ridden 13.2 & not exceeding 14h Champion & Reserve Champ Large Ridden Pony Champion Pony and Champion Rider s are Eligible for the Supreme
Ring 4 Open Ring Starts at 9:30am Supreme Ridden Show Horse & Supreme Rider to be judged at the end of classes in ring 3 and 4 and judged by both judges. Snaffle bits only 1. Smartest on Parade 16yrs & under 18yrs 2. Smartest on Parade 18yrs & under 21yrs 3. Smartest on Parade 21yrs & over 4. Open Led Galloway 14h & under 14.2hh 5. Open Led Galloway 14.2 & under 15hh Champion & Reserve Champ. Led Galloway 6. Open Led Hack 15h & under 15.2h 7. Open Led Hack 15.2h & under 16h 8. Open Led Hack over 16h Champion & Reserve Champ. Led Hack 9. Novice Rider 16yrs & under 18yrs 10. Novice Rider 18yrs & over 11. Open Rider 16 yrs & under 18yrs 12. Open Rider 18yrs & under 21yrs 13. Open Rider 21yrs & over Champion & Reserve Champ. Open Senior Rider 14. Novice Ridden Galloway 15. Ridden Galloway 14h & not exceeding 14.2h 16. Ridden Galloway14.2h & not exceeding 15h Champion & Reserve Champ. Galloway 17. Novice Ridden Small Hack 15hh & not exceeding 16hh 18. Ridden Hack 15hh & not exceeding 15.2hh 19. Ridden Hack 15.2h & not exceeding 16h
Champion & Reserve Champ. Small Hack 20. Novice Ridden Hack 16hh & over 21. Ridden Hack 16h & under 16.2 22. Ridden Hack 16.2h & over Champion & Reserve Champ. Ridden Large Hack Champion Hack & Galloway and Champion Rider s are Eligible for the Supreme
Ring 5 Working Hunter/Hack Starts at 10am This event is to all Open and Pony Club Competitors and will not be judged on bone structure but on working performance. Workouts will be given to riders on the day. Each Section winner will receive a sash, saddle blanket and Lapel. Champion Working Hunter/Hack will be judged on the circle and will receive a sash and rug. Phase One will include a showjumping consisting of 5 jumps. Competitors will be judged on: Jumping Style & Manners of horse and rider Pace Phase two will consist on the Ridden Flat. Competitors will be given a short workout on the day. Competitors will be judged on: Action & Paces Manners Attire & Presentation of horse and rider There will be 3 sections judged on jumping height. 30cm 60cm 80cm
Monbulk Pony Club inc Winter Show 30th July 2017 Pre Entries Close 22nd July For Pre Entries, fill out this entry form and Liability Waiver and send to Monbulk Pony Club PO Box 444 Monbulk Vic Or Email filled out forms to president@monbulkponyclub.com.au If you are a member of PCAV/HRCAV or EA you will need to show your grading card or proof of membership at the office and collect your tickets on the day, All open riders - Bring filled out day attendance form - www.ponyclubvic.org.au Open competitors will need to fill out a Liability Declaration & Waver form & Non PCAV/HRCAV/EA members + $10.00 Riders Name Horses Name Parent/Guardian Name if under 18yrs... Contact Phone Number... Please fill out the entry and/or how many tickets you need. Amount enclosed $ Cheque to be made payable to Monbulk Pony Club or Direct Credit Details: Monbulk Pony Club BSB 633 000 ACC 1150 79105 Name as reference for bank transfer: Refunds will be provided only for pre purchased tickets when a vet or doctors certificate is provided, no refund on unused tickets on the day. All day entry (Ring 1,2,3,4) $6o Yes/No Working Hunter/Hack $10 Yes/No Single Tickets @ $5.00 each Gate entry @ $5.00 Insurance (non PCAV Members)Yes/No $10.00
! LIABILITY DECLARATION FORM 2016-2017 EVERY DAY PARTICIPANT/OPEN RIDER MUST COMPLETE THIS FORM! Event: Date of Event: Organising Body: Address of Event: PLEASE TICK THE APPROPRIATE BOX: I am a current member of an equine association, and/or I hold a current insurance policy, which provides me with 24/7 Public Liability insurance to the minimum limit of $10,000,000 per occurrence. The equine association I am a member of:... and My membership / policy number is:... I have provided my Membership Card / Insurance Policy / Certificate of Currency as proof of this insurance and if necessary* read, acknowledged & signed the Day Participant Waiver. Please tick if you are a member of: Equestrian Australia (please note you must be a direct member of your state branch and not just an affiliated club). Arabian Horse Society of Australia (please note you must be a financial member of the AHSA and not just an affiliated club). Pony Club Association of Victoria Interstate Pony Club Australian Endurance Riders Association
Other (specify) HRCAV OR I hold my own personal liability policy for my equestrian activities. The insurance company is: and I attach my Certificate of Currency. OR I hold my own personal liability policy for my equestrian activities. The insurance company is: and I attach my Certificate of Currency. I am not a member of any of the above and do not have a current Public Liability policy with a minimum of $10,000,000 cover so will complete the Registered Day Participant Waiver (below) and tender $10.00 per person per day (including GST) to cover the cost of participation with this Pony Club for each day of this event. I am aware that this is not Personal Liability Insurance so cover does not extend to cover travel to and from this event. I am also aware that no Personal Accident cover is provided. Full Name: D.O.B: Address: Postcode: Signed (Guardian under 18) Contact Phone: DAY PARTICIPANT WAIVER 2016-2017 Participants in events organised by PCAV Clubs, who are not current financial members of a PCAV Club, or who do not have any other approved insurance in place, upon completion of this form are deemed to be Day Participants of the event.
Protection is afforded to the Day Participant under the PCAV Public Liability policy, only whilst participating in activities organised and/or run by the PCAV Club at that event, where they are liable for causing bodily injury or property damage to others, excluding whilst travelling to and from such event. By signing this form, you agree to abide by the Rules & Conditions of the PCAV and any Rules of the event. For every Entrant who does NOT have a current and proven Public Liability insurance to the minimum of $10,000.00 a payment is due of $10.00 per person per day (including GST), to cover the cost of participation with this Pony Club for each day of this event. Horse Sports are a Dangerous Activity I, the undersigned, in consideration for being permitted to participate in any way in horse sport activities and in particular this event, acknowledge and accept that: Horse sports are a dangerous recreational activity and horses can act in a sudden and unpredictable way, especially if frightened or hurt. There is a significant risk that serious injury or death may result from horse sport activities and in particular this event and freely assume all such risks, even if arising from the negligence of PCAV and/or the event organiser / official. I voluntarily participate at my own risk and assume sole responsibility for any injury, death or property damage I may suffer that arises from my participation in horse sport activities. I understand and acknowledge the dangers associated with the consumption of alcohol or any mind altering drugs before and during the activity and I take full responsibility for any injury, loss or damage associated with their consumption. I agree to follow the directions of any event organiser or official and that any misconduct or refusal by me to follow any direction of any organiser or official can result in the cancellation of my participation in the event and my immediate removal from my horse no matter where that may occur. I further agree to abide by the Rules and Conditions of this event and the official Rule Book of the Pony Club Association of Victoria. I understand that any such noncompliance may result in injury, death and/or permanent disability and I agree to indemnify PCAV against all claims made by any person as a result of my failure to comply. I agree to wear a helmet at all times whilst riding and agree that I am solely responsible for ensuring that I wear a suitable helmet at all times while riding and take sole responsibility for my actions. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless and agree not to sue the proprietors of the Pony Club Association of Victoria and/or the event organiser, their officers, officials, volunteers, coaches, agents and/or employees, other participants, sponsoring agencies, sponsors, state bodies, affiliated clubs and if applicable, owners and lessors of premises used to conduct the activities (all of whom are referred to as Releasees ) with respect to any and all injury, disability, death, or loss or damage to person or property, whether caused by the negligence of the Releasees or otherwise. Effect of this Document - I have had sufficient opportunity to read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without inducement of any kind. I understand that my signature to this document constitutes a complete and unconditional release of all liability of the Releasees, to the greatest extent allowed by law in the event of me and/or the children under my care, suffering injury or death. In consideration of your accepting my participation, I hereby undertake to indemnify the organising body against all claims, losses, suits and damages made against or suffered by the organising body by reason of any negligent act or omission on the part of any rider, driver, trainer or attendant whilst he/she is attending, riding, driving or otherwise handling any horse so entered or any other horse owned or entered by me, and I agree that any act
or omission on the part of such rider, driver, handler or attendant found in any action against you to be negligent shall be deemed to have been negligent for the purpose of any claim under this indemnity. Further, I agree to abide by the Rules & Conditions and current Rule Book as laid down by the Pony Club Association of Victoria and/or contained in any official event schedule and I also agree to abide by all of the Event Venue rules regarding use of their centre and its facilities. Full Name: D.O.B: Address: Postcode: Signed: Contact Phone: For Participants of Minority Age (Under Age 18) This is to certify that I, as a parent/guardian with legal responsibility for this participant, acknowledge, understand and accept all of the above and consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities arising from my minor child s involvement or participation in horse sport activities and in particular, this event, even if arising from the negligence of the Releasees. Full name of Rider: D.O.B: Address: Postcode: Full Name of Guardian: Contact Phone:
! Signed: Gow-Gates Insurance Brokers Pty Ltd, Level 8, 491 Kent Street, Sydney, NSW, 2000 P :(02) 8267 9999 F: (02) 8267 9998 E: equestrian@gowgates.com.au ABN 12 000 837 785 AFSL 245432